ABSTRACT:
The standard radical treatment for early rectal cancer includes a removal of the tumor with total mesorectal excision. There are lots of new techniques for endoscopic treatment which could shift the strategy for obtaining the postoperative results. We report our radical endoscopic treatment of early rectal carcinoma by endoscopic submucosal dissection. Forty five patients with early-stage rectal cancer (carcinoma in situ, T1sm1 and T1sm2) were enrolled. All of them were staged by 3-D endorectal ultrasound. In 43 cases, of the tumors were endoscopically removed. No oncological results were report. The bleeding was stopped by endoscopic hemostasis. No systematic complications were observed. No mortality was observed. The ESD procedure for early-stage rectal cancers is feasible and safe. The postoperative results are significantly better in comparison of radical surgical treatment. The perioperative morbidity is different as type and the postoperative period is shorter.